Maeda Yuyo, Kiura Yoshihiro, Kondo Hiroshi, Sakoguchi Tetsuhiko, Magaki Takuro, Takeshita Shinichiro, Tominaga Atsushi
Department of Neurosurgery and Neuroendovascular Therapy, Hiroshima Prefectural Hospital, Hiroshima, Hiroshima, Japan.
J Neuroendovasc Ther. 2020;14(8):307-312. doi: 10.5797/jnet.cr.2019-0077. Epub 2020 May 20.
We report a case of acute occlusion of the vertebral artery and radial artery. We performed mechanical thrombectomy for the radial artery following mechanical thrombectomy for the vertebral artery.
A 73-year-old woman developed sudden-onset dizziness and dysesthesia of the left finger, and was taken to our hospital. Atrial fibrillation was observed. Image inspection revealed acute cerebral infarction of the left lateral medulla and left cerebellar hemisphere, and occlusion of the vertebral and radial arteries. Mechanical thrombectomy for the left vertebral artery occlusion was performed after intravenous recombinant tissue plasminogen activator (rt-PA), and then mechanical thrombectomy was performed for the left radial artery occlusion.
This case suggests that it is possible to guide the system to the radial artery and to perform thrombectomy using existing intracranial endovascular treatment devices.
我们报告一例椎动脉和桡动脉急性闭塞病例。我们在对椎动脉进行机械取栓术后，又对桡动脉进行了机械取栓。
一名73岁女性突发头晕及左手手指感觉异常，被送至我院。检查发现存在心房颤动。影像学检查显示左侧延髓外侧及左侧小脑半球急性脑梗死，椎动脉和桡动脉闭塞。在静脉注射重组组织型纤溶酶原激活剂（rt-PA）后，对左侧椎动脉闭塞进行了机械取栓，随后又对左侧桡动脉闭塞进行了机械取栓。
该病例表明，使用现有的颅内血管内治疗设备，有可能将系统引导至桡动脉并进行取栓。
